Medicare Medicaid Category

Medicare & Medicaid

News articles in this section include actions by federal regulators like the CMS and HHS, as well as information on Medicare and state Medicaid coverage and benefits.

Workers Pay More for Health Care as Companies Shift Burden

State health insurance exchanges created under the new health care law are in turmoil. By contrast, the employer market — where the majority of Americans still get their coverage — seems like a bastion of stability.

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The Striking Difference Between States That Expanded Medicaid and the Ones That Didn’t

The number of Americans without health insurance declined to 9.1 percent last year, according to federal data released Tuesday. A set of maps released by the Census Bureau suggests an obvious way to decrease the uninsured rate even more: expand Medicaid in the 19 states that haven't.

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GOP Report: State-Run ObamaCare Exchanges Are Headed For Collapse

The dozen ObamaCare exchanges run by the states are struggling financially and could be headed toward collapse over the next several years, according to a new report released Tuesday by House Republicans.

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Humana Will Reduce Its Public Exchange Presence by Nearly 90% in 2017

Early in August commercial health insurer Humana Inc. disclosed it was joining a growing list of big insurance companies scaling back participation in public health exchanges.

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Another Reason Hospitals Hate Medicare’s Site-Neutral Payment Plans

The CMS' plan to eliminate Medicare payments for new off-campus outpatient departments has kicked up fierce opposition from hospitals. As the comment period comes to a close, hospitals argue it threatens not just lost revenue but also substantial and unavoidable legal risks.

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Getting California Doctor Lists Right

State Sen. Ed Hernandez and his wife, Diane, are optometrists.

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Fewer Than A Third of Medicare ACOs Received Bonuses Last Year

The mixed results for Medicare accountable care organizations continued last year with fewer than one-third of them qualifying for bonus payments, the CMS said Thursday.

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How Expanding Medicaid Can Lower Insurance Premiums for All

The Obama administration for years has been pleading with states to expand their Medicaid programs and offer health coverage to low-income people. Now it has a further argument in its favor: Expansion of Medicaid could lower insurance prices for everyone else.

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Medicare Part D Spending Rose 17% in 2014 Because of High-Cost Drugs

Medicare spending on prescriptions increased more than 17% in 2014, despite a claims increase of only about 3%, according to data released Thursday.

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Obamacare Patients Filled More Prescriptions but Paid Less for Drugs, Study Finds

Patients who gained health coverage through the Affordable Care Act are filling significantly more prescriptions while paying less for their drugs, according to a new study that credits the health law and adds to evidence of its benefits for previously uninsured Americans and those with chronic conditions such as asthma, diabetes and high blood pressure.

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